Cgabryszek: Created page with "Considerations: cardio-respiratory arrest, airway obstruction, shock, stroke, seizure, trauma, overdose, diabetic complications, hypo/hyperthermia. Evaluate for suspected child abuse in infants with altered mental status or new seizures. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Perform an initial assessment, confirm ABCs ## If apneic, pulseless or in shock/hypotension, refer to appropriate protocol. ## Cervical spine precautions are to be..."

2022-04-03T22:25:00Z

Created page with "Considerations: cardio-respiratory arrest, airway obstruction, shock, stroke, seizure, trauma, overdose, diabetic complications, hypo/hyperthermia. Evaluate for suspected child abuse in infants with altered mental status or new seizures. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Perform an initial assessment, confirm ABCs ## If apneic, pulseless or in shock/hypotension, refer to appropriate protocol. ## Cervical spine precautions are to be..."

New page

Considerations: cardio-respiratory arrest, airway obstruction, shock, stroke, seizure, trauma, overdose, diabetic complications, hypo/hyperthermia. Evaluate for suspected child abuse in infants with altered mental status or new seizures.
{| class="wikitable"
|'''EMR - Emergency Medical Responder'''
|}

# Perform an initial assessment, confirm ABCs
## If apneic, pulseless or in shock/hypotension, refer to appropriate protocol.
## Cervical spine precautions are to be taken if circumstances surrounding the event are not known or indicate a possible spine or head injury.
# Begin initial medical care with emphasis on maintaining a functional airway
## Refer to the airway protocol
## Apply high-flow oxygen, if not already done
## Anticipate need for suction
## If no spinal injury, may place in recovery position
## Provide appropriate airway management based on patient condition.
# Evaluate temperature exposure. Treat as indicated.
# Obtain history from witnesses
# If reason for altered consciousness becomes evident, treat per appropriate protocol.

{| class="wikitable"
|'''EMT - Emergency Medical Technician''' ''Perform/Confirm All Above Interventions''
|}

# Perform Glucometry and follow hypoglycemia protocol if indicated.
# Perform a rapid neurological exam.
## Report level of consciousness via GCS or AVPU scoring system
## Check pupils, response to pain, any unequal movements, slurred speech, etc.
## Any observed or reported seizure activity
# If respiratory effort inadequate, ventilate patient with BVM or attempt appropriate airway based on level of training and verify placement.
# If signs and symptoms consistent with CVA Stroke) follow CVA protocol.
# If altered mental status persists, '''Consult Medical Control''' regarding need for ALS intercept

{| class="wikitable"
|'''AEMT – Advanced Emergency Medicine Tech ''' ''Perform/Confirm All Above Interventions''
|}

# Initiate Transport and establish IV en route
# Apply cardiac monitor, print rhythm strip for reference
# '''Consult Medical Control''' for further orders
# Evaluate for narcotic overdose based on medications, history and pupillary exam. Treat as indicated with '''naloxone (Narcan)''' 0.4mg IV or IN per dose. Repeat as needed up to 2 mg. Titrate primarily to ensure adequate ventilation, airway control and to maintain a systolic BP >90.

{| class="wikitable"
|'''Intermediate -''' ''Perform/Confirm All Above Interventions''
|}

# Assess and treat any symptomatic dysrhythmia. Consider Overdose if evidence of dysrhythmias or wide-complex QRS
# Treat seizure if present, per Seizure guideline

{| class="wikitable"
|'''Paramedic -''' ''Perform/Confirm All Above Interventions''
|}

# Administer antidotes as indicated
# Administer antidysrhythmics as indicated

2-14 ALTERED MENTAL STATUS - Revision history